Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -

Youn-Jung Son; Sung-Kyung Hong; Eun Young Jun

doi:10.4040/jkan.2008.38.3.353

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Son, Hong, and Jun: Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -

Original Article

Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2008; 38(3): 353-362.

Published online: 30 June 2008

DOI: https://doi.org/10.4040/jkan.2008.38.3.353

Concept Analysis of Relocation Stress - Focusing on Patients Transferred from Intensive Care Unit to General Ward -

Youn-Jung Son¹, Sung-Kyung Hong², Eun Young Jun, ³

¹Assistant Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

²Full-time Instructor, Department of Nursing, Hyejeon College, Hongseong, Korea.

³Part-time Instructor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

Address reprint requests to: Jun, Eun Young. A-402, Gong-Jak APT, Yeouido-dong, Yeongdeungpo-gu, Seoul 150-875, Korea. Tel: 82-17-275-0653, Fax: 82-41-575-9347, 1991young1@hanmail.net

Received 1 March 2008 Accepted 31 March 2008

Abstract

Purpose

This study was conducted to analyze and clarify the meaning of the concept for relocation stress-focusing on patients transferred from an intensive care unit to a general ward.

Methods

This study used Walker and Avant's process of concept analysis.

Results

Relocation stress can be defined by these attributes as follows: 1) involuntary decision about relocation, 2) moving from a familiar and safe environment to an unfamiliar one, 3) broken relationship of safety and familiarity, 4) physiological and psychosocial change after relocation. The antecedents of relocation stress consisted of these facts: 1) preparation degrees of transfer from the intensive care unit to a general ward, 2) pertinence of the information related to the transfer process, 3) change of major caregivers, 4) change in numbers of monitoring devices, 5) change in the level of self-care. There are consequences occurring as a result of relocation stress: 1) decrease in patients' quality of life, 2) decrease in coping capacity, 3) loss of control.

Conclusion

Relocation stress is a core concept in intensive nursing care. Using this concept will contribute to continuity of intensive nursing care.

Keywords: Intensive Care Unit, Relocation Stress, Concept Analysis

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (MOEHRD) (KRF-2006-331-E00391).

References

1. Ahn KO, Hong JY, Kim Y, Jung KY. Appropriate interhospital transfer of emergent patient. Journal of the Korean Society of Emergency Medicine. 2006. 17:138–145.

2. Carpenito LJ. Nursing diagnosis: Application to clinical practice. 2000. 8th ed.Philadelphia: J. B. Lippincott.

3. Collins Cobuild Editorial Board. Collins Cobuild English dictionary. 1999. London: Harper Collins Publishers.

4. Coyle MA. Transfer anxiety: preparing to leave intensive care. Intensive & Critical Care Nursing. 2001. 17:138–143.

5. Cutler L, Garner M. Reducing relocation stress after discharge from the intensive therapy unit. Intensive & Critical Care Nursing. 1995. 11:333–335.

6. Hall-Smith J, Ball C, Coakley J. Follow-up services and the development of a clinical nurse specialist in intensive care. Intensive & Critical Care Nursing. 1997. 13:243–248.

7. Jenkins DA, Rogers M. Transfer anxiety in patients with myocardial infarction. British Journal of Nursing. 1995. 4:1248–1252.

8. Jo SJ. Relocation of public agencies and the local response: a case of Daegu metropolitan city. Journal of Regional Studies. 2005. 13(3):35–54.

9. Jones C, O'Donnell C. After intensive care-what then? Intensive & Critical Care Nursing. 1994. 10(2):89–92.

10. Kang MG. Administrative capital relocation, decentralization, and balanced regional development: an untold story. Korean Journal of Public Administration. 2006. 44:29–54.

11. Kao HF, Travis SS, Acton GJ. Relocation to a long-term care facility: working with patients before, during, and after. Journal of Psychosocial Nursing and Mental Health Servies. 2004. 42(3):10–16.

12. Kim YH, Koo MJ, Kim SH, Kim YM, Lee NY, Chang KO. The experiences of patients in intensive care units (ICU). Journal of Korean Academy of Nursing. 2007. 37:924–931.

13. Koegh S. Parent's experiences of the transfer of their child from PICU to the ward: A phenomenological study. Nursing in Critical Care. 2001. 6:7–13.

14. Koh CK. Patient's anxiety in intensive care units its related factors. Journal of Korean Academy of Nursing. 2007. 37:586–593.

15. Leith BA. Transfer anxiety in critical care patients and their family members. Critical Care Nurse. 1998. 18(4):24–32.

16. Lim JY. A comparison of cost between home care and hospital care: According to subject's general characteristics. Journal of Korean Academy of Nursing. 2003. 33:246–255.

17. McKinney AA, Melby V. Relocation stress in critical care: A review of the literature. Journal of Clinical Nursing. 2002. 11:149–157.

18. Meleis AI, Sawyer LM, Im EO, Hilfinger Messias DK, Schumacher K. Experiencing transitions: An emerging middle range theory. Advances in Nursing Science. 2000. 23:12–28.

19. Minjungserim Editorial Board. Minjung essence korean dictionary. 2006. Paju: Minjungseorim.

20. Mitchell ML, Courtney M, Coyer F. Understanding uncertainty and minimizing families' anxiety at the time of transfer from intensive care. Nursing & Health Sciences. 2003. 5:207–217.

21. Nisbett RE. IC Choi . The geography of thought. 2004. Paju: Gimm-Young Publishing.

22. Saarmann L. Transfer out of critical care: Freedom or fear? Critical Care Nursing Quarterly. 1993. 16:78–85.

23. Schactman M. Transfer stress in patients after myocardial infarct. Focus on Critical Care. 1987. 14(2):34–37.

24. Schumacher KL, Meleis AI. Transitions: A central concept in nursing. Image-the Journal of Nursing Scholarship. 1994. 26:119–127.

25. Sharp S. Understanding stress in the ICU setting. British Journal of Nursing. 1996. 5:369–373.

26. Strahan EH, Brown RJ. A qualitative study of the experiences of patients following transfer from intensive care. Intensive & Critical Care Nursing. 2005. 21:160–171.

27. Suh CS. Encyclopedia of Korean Culture. 2004. Seoul: The Korean Culture Globalization Headquarters.

28. Walding MF. Pain, anxiety and powerlessness. Journal of Advanced Nursing. 1991. 16:388–397.

29. Walker LO, Avant KC. Strategies for theory construction in nursing. 2005. 4th ed.Upper Saddle River, NJ: Prentice hall.

30. Wu C, Coyer F. Reconsidering the transfer of patients from the intensive care unit to the ward: A case study approach. Nursing & Health Sciences. 2007. 9:48–53.

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